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Most Common Side Effects (12mg Dose) When Side Effects Improve Most side effects follow a predictable pattern: Peak: First 1–2 weeks at a new dose or when starting the medication Improvement: Week 3–4 as your body adapts (receptor desensitization, GI tract adjustment) Stabilization: By week 6+, most users report minimal or no side effects at the same dose Recurrence: Symptoms may temporarily return when you increase to the next dose (usually milder than initial onset) Managing Side Effects Nausea Eat smaller, more frequent meals instead of large portions Avoid fatty, greasy, or spicy foods (they slow gastric emptying further) Stay upright for 30–60 minutes after eating Ginger tea, peppermint, or over-the-counter anti-nausea medications (consult your provider) Diarrhea Stay hydrated (electrolyte drinks if severe) Reduce fiber temporarily if diarrhea is acute Probiotics may help stabilize gut microbiome Anti-diarrheal medications (loperamide) if needed, under medical guidance Constipation Increase water intake (aim for 2+ liters daily) Add fiber gradually (fruits, vegetables, psyllium husk) Light exercise stimulates bowel motility Stool softeners or osmotic laxatives (MiraLAX) if needed When to Stop and Seek Medical Attention Contact a healthcare provider immediately if you experience: Severe, persistent abdominal pain (could indicate pancreatitis) Signs of dehydration from vomiting/diarrhea (dizziness, dark urine, rapid heartbeat) Allergic reaction (hives, difficulty breathing, swelling of face/throat) Vision changes or severe headaches Symptoms of gallbladder problems (pain in upper right abdomen, yellowing of skin/eyes) For side effect management strategies and what to watch for long-term, see our guide: Retatrutide Side Effects: Complete Guide & Management Strategies

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